CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Northeast Regional Medical Center

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $1,506
  • Cash Discount Price: $1,672
  • vs. Medicare Baseline: 14.10x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Northeast Regional Medical Center is $1,506. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,672. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 14.10x the Medicare baseline. Located in 315 S Osteopathy, Kirksville, MO.
Cash / Self-Pay
$1,672

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,506

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $1,672 (1565%)
Insurance Median: $1,506 (1410%)
Cash: $1,672 (1565% of Medicare)
Ins. Median: $1,506 (1410% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1410% of the Medicare baseline (a markup of 1310%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Medicaid / KanCare $91 - $148 85%
Veterans Eval Services $92 86%
Node Champva $106 99%
Tricare $106 99%
Medicare (plans) $110 103%
Node Hospice Non Par Agree $112 105%
Node Va $112 105%
UnitedHealthcare $112 - $3,174 105%
Blue Cross Blue Shield $113 - $1,291 106%
Node Devoted Health Mcr Adv $116 109%
Blue Pathway/Pathway X $129 121%
Centurion Correctional $140 131%
Us Department Of Labor $140 131%
Home State Exchange $202 189%
Naphcare $213 199%
Immergrun $224 210%
Blue Prefrerred $269 252%
Blue Access $278 260%
Self Pay $1,016 - $2,327 951%
Cigna $1,439 - $1,655 1347%
Aetna $1,574 - $3,529 1474%
Access Health Services, Llc $2,751 2576%
Healthlink $3,174 - $3,385 2972%
Multiplan $3,174 - $3,385 2972%
Coventry Wc $3,385 3169%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 315 S Osteopathy, Kirksville, MO 63501
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals